Abstract
The number of patients with stapes otosclerosis compared to the number of otorhinolaryngologists has declined over the past several years. As a result a controversy has arisen in the literature, whether or not stapes surgery should be included in residency programs. the objective of the present study is to evaluate the results and complications of estapedotomies performed by residents between January, 1997 and January, 2000, and consequently study the feasibility of including estapedotomies in residency programs. STUD DESIGN: retrospective review of prospectively collected audiometric data. fifty charts of patients that were submitted to a total of 51 primary stapedotomies were reviewed mainly for complications and audiological results. there was closure of the air-bone gap within 10 dB HL in 70.5% of ears and closure to within 20 dB HL in 86.3% of ears. There was one ear with total hearing loss (2%). From the results and complications seen in the present study, and analyzing papers from the literature, it is possible to conclude that stapedotomy is a procedure that can be included in residency programs, if there are surgical cases for the residents.
Highlights
Otosclerosis is a pathological process located in the otic capsule
The mobilization of the stapes to treat otosclerosis was first advocated by Rosen, in 1952 and later modified by Shea in 1958.9,10 Various techniques have been developed along the years, and the current trend is to replace total stapedectomies with stapedotomies, with reports of better closure of the air-bone gap in the high frequencies and better speech recognition after the procedure, some authors have found similar results with both techniques. 10-15
Through the inclusion and exclusion criteria aforementioned, we found 50 patients, 49 underwent unilateral surgery and 1 patient was submitted to a bilateral procedure
Summary
Otosclerosis is a pathological process located in the otic capsule. It rarely involves the ossicles and it may cause secondary effects to both the auditory and the vestibular systems, causing conductive and/or sensorineural hearing loss. This hearing loss usually starts between 15 and 35 years, and is a dominant autosomal disease of variable manifestation.[1,2]. The mobilization of the stapes to treat otosclerosis was first advocated by Rosen, in 1952 and later modified by Shea in 1958.9,10 Various techniques have been developed along the years, and the current trend is to replace total stapedectomies with stapedotomies, with reports of better closure of the air-bone gap in the high frequencies and better speech recognition after the procedure, some authors have found similar results with both techniques. The mobilization of the stapes to treat otosclerosis was first advocated by Rosen, in 1952 and later modified by Shea in 1958.9,10 Various techniques have been developed along the years, and the current trend is to replace total stapedectomies with stapedotomies, with reports of better closure of the air-bone gap in the high frequencies and better speech recognition after the procedure, some authors have found similar results with both techniques. 10-15
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